Actually, I do have access to all sorts of financial records and reports in our system. I can erase bills, create records, etc, etc, etc. With that power comes great responsiblity, like not downloading my company's and our affilates' financials to "win" an Internet pissing contest. Furthermore, they keep an eye on my activity when I'm in live databases because I have near unlimited power. Actually, I guess I do have unlimited power because I can take over other users sign ones.
Furthermore, I have access to test and practice databases, so if I were truly motivated, I could just create whatever evidence I wanted. My email literally gets bombed with email alerts from all the fake patients I work with. My dog has an account, David Lee Roth & his wife Jamie Lee Roth have upcoming appointments. Steeley Dan missed his colonoscopy. One of my coworkers uses all the characters from South Park, with their real fake addresses. As easily as all those test patients were created, I could create Jose Hernandez (the border hopper) and his family and give them all Medicaid. If Rob would like, Jose can work at the Learing Center.